Abstract
Surgical reconstruction of the penis is challenging because of the many cosmetic and functional requirements that must be addressed. Since 1994, 18 biologically male patients with total penile losses for various reasons were treated with free sensate osteocutaneous fibula flaps. The ages of the patients ranged between 20 and 26 years (mean: 22.2 years). The average follow-up period was 5.4 years (range: 1–9 years). Patient satisfaction was evaluated by a questionnaire regarding both quality of orgasm and daily activities. Conventional radiographic imaging, magnetic resonance imaging, and bone mineral densitometry were performed to evaluate the fate of the bony component. Sensibility was evaluated by bulbocavernous reflex and penile somatosensory evoked potentials.
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